Individual provider · Type 1 NPI

Julia Dawn Charboneau, CADC R

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1407617962 Active

Practice location

211 NE 18th Ave
Portland, OR 97232-2822

Call (971) 248-8899 Map

Mailing address

1306 NE 2nd Ave Apt 609
Portland, OR 97232-1135

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1407617962

Julia Dawn Charboneau, CADC R's National Provider Identifier is 1407617962, issued on Jan 22, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Jan 22, 2024.